Individual
ROY D GERARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
30926
OK
207RN0300X
Nephrology Physician
Primary
H6825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129379701
—
TX
05
—
200214930 A
—
OK
01
—
390004246
RAILROAD MEDICARE
TX
Enumeration date
01/09/2007
Last updated
04/20/2023
Update your record
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